Provider Demographics
NPI:1003229782
Name:QUERREY, TAMERA ANN (ACNP)
Entity Type:Individual
Prefix:MRS
First Name:TAMERA
Middle Name:ANN
Last Name:QUERREY
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:TAMERA
Other - Middle Name:ANN
Other - Last Name:MARKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3805 E BELL RD
Mailing Address - Street 2:SUITE 4800
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2105
Mailing Address - Country:US
Mailing Address - Phone:602-996-4747
Mailing Address - Fax:602-953-5466
Practice Address - Street 1:3805 E BELL RD
Practice Address - Street 2:SUITE 4800
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-2105
Practice Address - Country:US
Practice Address - Phone:602-996-4747
Practice Address - Fax:602-953-5466
Is Sole Proprietor?:No
Enumeration Date:2014-06-10
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN140562163W00000X
AZAP5670363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse